Individual
JONATHAN PAUL NEWSOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
477 COOPER RD, SUITE 300, WESTERVILLE, OH 43801
(614) 898-8808
(614) 898-8842
Mailing address
477 COOPER RD STE 300, WESTERVILLE, OH 43081-8057
(380) 898-8808
(380) 898-8842
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35.134061
OH
207Q00000X
Family Medicine Physician
52327
KY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300038287
—
IN
05
—
7100625360-KOMG
—
KY
01
—
K285040-KOMG
MEDICARE PIN
KY
Enumeration date
04/13/2016
Last updated
01/31/2023
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